Kale with Coconut, Ginger and Lime

This delicious recipe uses flavours from Thailand, in whose cuisine coconut, ginger, and lime can often be found. Coconut milk helps increase the bioavailability of kale’s fat-soluble vitamins, while coconut’s sweetness and the brightness of the lime help eliminate kale’s natural bitterness. You could also use oat cream instead of coconut milk.

MAKES 4 SERVINGS • PREP TIME: 5 minutes • COOK TIME: 10 minutes

Ingredients

2 tablespoons extra-virgin olive oil or coconut oil
2 cloves garlic, minced
1 tablespoon minced fresh ginger
1 bunch kale, stemmed and cut into bite-size pieces
1/4 teaspoon sea salt
1/2 cup coconut milk
1 1/2 teaspoons freshly squeezed lime juice

Method

Heat the oil in a large pan over medium-high heat. Add the garlic and ginger, stir, and cook about a minute. Add the kale and salt, and sauté for 3 minute or just until it turns an emerald green. Add the coconut milk/ oat cream and sauté continuously until the kale is tender, about 5 minutes. Stir in the lime juice and serve immediately.

VARIATIONS: For some colour, add 1/2 cup of finely diced red or yellow bell pepper along with the kale. If you have Thai basil, garnish with 1 tablespoon, chopped, for a real Asian flare.

Adapted from The Healthy Mind Cookbook by Rebecca Katz with Mat Edelson

Not Eating for Longevity

Why not eating could help you live longer

As a Nutritional Therapist, of course I’d say that what you eat really matters, right? But, as science into this area explodes, we’re realising that NOT eating is almost as important what we do eat. Why? Because by not eating, you trigger a magical process in the body called autophagy. It’s the genius clean-up function Mother Nature has given us. Let me tell you a little bit more about this process and why it matters so much. And then you can see whether or not you’d like to learn how to trigger this extraordinary process in your body yourself.

Why the cells in your body need a clean-up

Small as they may be our body’s cells are tiny hubs of activity, and just like in our own world, industry creates waste. Each cell contains a nucleus, where the genetic material is stored, and various organelles – tiny “organs” that have a job to do.

But things wear out: mitochondria – the cells’ “batteries” – get old and malfunction, other organelles and parts of the cell break down. All that rubbish cannot be left floating around, so there are organelles for waste collection, too: phagophores. These are the bin men of the cell world, collecting all the bits and pieces that no longer work, even mopping up invading microbes, such as bacteria and viruses as they go.

They then take the junk to the lysosomes – the dump – a little bubble inside the cell where enzymes break down the waste, recycling what they can. A lot of this rubbish is made of proteins. Simply put, proteins consist of chains of amino acids. When an old protein is broken down into its components, those components – amino acids – can be recycled to make new proteins, or they can be used as extra fuel for the mitochondria. In times of famine, this process can even provide nutrients missing from the diet. It is called AUTOPHAGY, or “self-eating” and it is a very clever process.

Side-effects of a good clean-up

In addition to providing energy, scientists now think that autophagy may offer some protection against brain diseases, such as Alzheimer’s and Parkinson’s. Nerve cells are particularly active. Their mitochondria have to work especially hard and as a result break down sooner. Autophagy mops them up before they can do too much harm. Indeed, researchers believe that damaged mitochondria that have lost their ability to use fuels – fat and glucose – efficiently may be behind a whole range of illnesses. These include infections, cancer, neurodegeneration, aging, and heart disease.

Autophagy does a great job of keeping everything functioning at peak levels. Clearly, you’ll want autophagy to work properly in your own body.

Is your clean-up switch on or off?

Many processes in the body oppose each other, and there are feedback mechanisms that make them work. Think of this as a bit like a light switch. When one process is happening, the other cannot.

The magical state of autophagy is opposed by the activity of mTOR, an enzyme required for growth that monitors the body’s fuel supplies closely. It plays a central role in physiology, metabolism, the aging process, and common diseases.

When you eat, and food is plentiful, mTOR is switched on and works in growth and repair mode.

If you’ve not eaten for a while and nutrients seem in short supply, it is switched off, and autophagy kicks in to clean up and extract fuels from the waste like I described earlier.

It’s not that one of these processes is good and the other bad. As humans, we need both. This genius system evolved to get us through lean times … the only issue is, that in the Western world, there are hardly any lean times anymore.

When there is always plenty of fuel (the food you eat), mTOR is working overtime and autophagy hardly gets a chance to kick in. No surprise then, that waste builds up, and you become vulnerable to illness.

Autophagy only works when you are not eating (and have not eaten for a little while), and this is the reason why fasting is so good for you.

How to get yourself into autophagy

The easiest way to make it work is to eat less or stop eating altogether – to fast or to trick your body into thinking that you are fasting.

You can do this by switching to a very low-carb, high-fat diet – the ketogenic diet – where carbohydrate supply drops, starving the body of fuel and triggering autophagy.

Another option is actual fasting. Don’t worry, that doesn’t mean that you need to stop eating for a week. Just hours – it’s called intermittent fasting – are enough to trigger autophagy.

The best-known method of intermittent fasting is probably the “5:2 Diet”, made popular by TV doctor Michael Mosley a few years ago. It involves eating just 600 calories on two days a week while eating normally on the other five days (although, in later books, he upped the calorie allowance to 800).

Another way of intermittent fasting is time-restricted eating, in which you stop eating for a varying number of hours within a 24-hour period, aka 16:8 (eating only within an 8-hour window each day) or 14:10 (10-hour window).

In a 16:8 scenario, for example, you would have a late breakfast at 11am and stop eating after an early dinner, thus not eating anything from 7 pm to 11 am the next morning. In practice, this will feel like simply skipping breakfast.

Or, if for you, breakfast is the most important meal, you start and stop early. You would have a good breakfast and stop eating earlier in the afternoon. Studies found that not eating in the evening led to better weight loss results.

Why I love intermittent fasting

A lot of research has been and is being done on intermittent fasting, and the results are amazing. Not only does it promote weight loss – which is, let’s face it, what many of us secretly want more than anything else – but it has also been found to normalise blood sugar levels, reduce blood pressure and total cholesterol. At the same time, those who were well to begin with remained so. Their blood pressure, cholesterol and weight stayed the same.

Foods that trigger autophagy

But the ketogenic diet and fasting are not all that you can do to promote autophagy. It has been discovered that there are certain foods and nutrients that also trigger it.

Good news for coffee drinkers: coffee is one of them. Another is C8 oil. This is an “MCT” oil “medium-chain triglycerides”, a type of fat that occurs naturally in coconut oil, for example. As it is often used in the ketogenic diet, you can now buy it in health food shops and online.

Other foods that contain nutrients to promote autophagy are seeds, fish and shellfish, olives and olive oil, brassica (plants from the cabbage family, such as cauliflower, Brussels sprouts, kale and broccoli), mushrooms, blackcurrants, berries, turmeric, ginger, green tea, hibiscus, mint and bergamot (in Earl Grey tea).

Foods that block autophagy

On the other hand, there are foods that block autophagy, such as excess carbohydrates and excess protein, the latter especially from meat and dairy. Resistance exercise or strength training, too, blocks autophagy.

Adding the right exercise

It is important, if you are going to promote autophagy, not to forget to exercise. Remember, when you scale down your carbohydrate intake or restrict calories, mTOR, the protein for growth – including muscle growth – is switched off. When the body’s fuel supply is cut off, this is perceived as famine and – with the help of autophagy – proteins from muscle can be broken down to serve as fuel. Regular resistance exercise briefly switches autophagy off and mTOR back on and that way helps to protect your muscles.

Conclusion

So, for better health, maybe give your body a break from eating now and then. Try out intermittent fasting and see which version works best for you. I have found that many clients who first come to me think that they have been doing intermittent fasting, but actually they haven’t, because some aspects of it can be confusing for people ie either they don’t really understand the timing correctly, or aren’t aware that certain foods and drinks can stop the fasting process.

When you do eat, stick with real food as that gives you the best chance of stocking up on those vital nutrients that help autophagy work better.

If you would like to learn more or try out fasting with some professional guidance, please feel free to contact me for a complimentary 30-minute call. I’d love to speak to you!

Thinking of becoming Sober Curious?

Ahhh….A drink after a long day to take the edge off before bed, and then maybe a few more on the weekend to help you loosen up when you go out with friends. Socially, drinking is one of main ways we enjoy being with friends.

The trouble is it’s easy for those units to mount up, without even being aware of it (when I ask my clients to write down how much they actually drink, many of them are very surprised). And over time it can have really detrimental effects on your health, mood, energy levels and weight. Because some of these problems can creep in overtime, you may find it difficult to link them directly to drinking.

The recommended guidelines for alcohol are no more than 14 units a week, with at least 2 alcohol free days per week. A typical bottle of wine will contain 10 units. It’s easy to get through a bottle with three generous glasses in a night! Let’s face it, whoever pours a small glass?

Do you ever wonder if you drink a little too much? Maybe it’s crossed your mind on occasion that you have a problem with alcohol (even if you’ve not spoken those words out loud)? Do you use alcohol like a social crutch to give you confidence at parties and events? Do you often wonder what life would be like without alcohol or even why on TV, films and even in real life the alcohol flows freely at practically every event? It’s like we should all be drinking, and without it, we must be having less fun.

Have you ever thought about cutting down? And then maybe worried that not drinking seems somewhat suspect. After all, abstaining is often interpreted as a tacit indication that you struggle with alcoholism (itself a stigma and kept private), or that you’re just a virtuous teetotaller who’s a party- pooper and doesn’t know how to have fun! Trying to cut back though can be difficult and often meets with disapproval from others.

While you might be eating well, doing your yoga or Pilates, meditating, getting your 10,000 steps every single day, at the end of a long day, you get back from work, kick off your shoes and head for a glass of chilled Sauvignon Blanc. Soon, one glass is a second glass, which becomes the rest of the bottle.

I wonder if that sounds familiar?

If any of these questions above have crossed your mind, perhaps you are sober curious.

The sober curious movement is gathering pace and not drinking is really rather trendy. To be clear, ‘sober curious’ is not the same as sobriety (being 100% sober). According to Ruby Warrington, author of the book Sober Curious, it’s not that you’re either a drinker or teetotaller. Rather, it’s about bringing a “questioning mindset to every drinking situation, rather than going along with the dominant drinking culture”. Sober curious is a movement that welcomes you at any stage of your questioning the role alcohol plays in your life.

It may be that you have already dipped your toe into extended periods of sobriety – Dry January, Go Sober for October. Being sober curious the rest of the time is a natural extension. There are even sober bars popping up where you get to socialise over mocktails and kombucha rather than a G&T.

Author Ruby Warrington – the first to coin the phase – began thinking about her alcohol consumption in 2010 in terms of its impact on her health and wellbeing. She was drinking in a very socially-acceptable way. The way you might see openly portrayed on social media, it wasn’t like she was drinking secretly or during the day. Maybe a few glasses of wine on a few weeknights and a mini-binge at the weekend. Like many, she was simply doing it without question.

But then she began to question the role it played in her well-being, drinking less and less often. And then she stopped almost completely. With that came relief from hangovers, sleepless nights, and anxiety, plus a new sense of self-confidence and a stronger ability to cope with daily life. She calls her approach to drinking sober-curious, which she describes in her book Sober Curious.

Feel like exploring this for yourself?

Being sober-curious starts with asking yourself:

Why am I choosing to drinking right now?

Is it expected of me that I will have a drink right now? If so, how do I feel about that?

What will this drink do for my health and general well-being?

Think about what it is that you actually want.

It’s also important not to focus on what you’re cutting out. Instead, focus on everything that you’re cultivating or creating space for now in your life by looking beyond drinking.

When you do drink, ask yourself: How is this drink actually making me feel compared to how I thought it would make me feel? You might begin to notice that alcohol makes you feel tired and groggy and doesn’t give you the lift or the release you were looking for. And these experiences might make it easier to choose not to drink on some future occasions.

If people question you, it may sometimes be easier to have an excuse. For example, “I’m just not drinking this month” or “I’m driving.” Sometimes it’s easier to shut down the question, depending on who’s asking and whether you are comfortable sharing. Don’t be afraid to say to friends that you’re taking some time off from drinking, that you’d like to do something different instead (on a night you would normally go to a bar) . Remember, you don’t have to justify yourself to anyone. But if you feel the need to, I always tell my clients to use me, their nutritionist, as the reason!

Can you ever drink if you’re sober curious? Of course! Being sober curious is not about never, ever drinking. It’s simply being more mindful about when and why we drink, and how it fits in with the other things we want in our life. And that’s something we could probably all do with more of in every aspect of our lives.

SOBER CURIOUS RESOURCES

Sober Curious by Ruby Warrington

The Sober Diaries: How one woman stopped drinking and started living by Clare Pooley

Drink?: The New Science of Alcohol and Your Health by David Nutt

Alcohol Lied to Me: How to Stop Drinking and Get the Real You Back by Craig Beck. There are some excellent hypnosis tracks to go with this book by Craig Beck

Future-Proof Your Brain

Are you wondering about what you can do to help protect your brain from future cognitive decline? A fear for many people as they get older is that they are going to be sound of body but their mind may not be. Our mental health has an enormous impact on our day-to-day lives and maybe we should be spending as much time giving our brains a workout as we do looking after our bodies. If you send your car in for regular servicing, check the oil and the tire pressure, your car will probably run smoother for longer. Attending to your own brain maintenance,using evidence-based nutritional and lifestyle strategies will likely help provide the same benefit.

By the time you get to your 40s, chances are you’re already walking into rooms with absolutely no idea what you came there for. Of course, what’s going on is multilayered – forgetfulness and brain fog can be caused by so many different things (many of which can be helped by simple nutritional and lifestyle modifications) – but there are some foods and lifestyle strategies that scientists know are excellent for keeping the brain healthy and preventing the downhill slide.

Healthy Weight

At this point, you probably know that carrying excess weight on your body—particularly extra body fat around your middle—can increase the risk for diabetes, heart disease, stroke, cancer, and dementia. And now, recent research in 2019 suggests that there is an association between having a bigger waistline and a high body mass index (BMI) in your 60s, and accelerated brain ageing, by at least a decade. This is due to the cortex thinning. Before you freak out,  what this really means is, that by losing weight (ideally, well in advance of your 60s), people may be able to stave off brain ageing and potentially the memory and thinking problems that can come along with it.

Good Quality Sleep

We already know that sleep is essential for good cognitive health. Researchers in 2019 followed 119 participants over the age of 60 for six nights of sleep, and found that participants with less deep sleep, as characterized by their brain waves, produced higher levels of a certain brain protein called tau. Elevated levels of tau in the central nervous system have been linked with brain damage. When looking at the brain of someone who is sleep-deprived, scientists have also found reduced metabolism and blood flow in multiple brain regions.

As you sleep, memories are reactivated, connections between brain cells are strengthened, and information is transferred from short to long-term. Without enough quality sleep, we can become more forgetful. I talk a lot to my clients about techniques to optimise sleep. It’s a big topic but good places to start are to stay away from gadgets 1 hour before sleep and to avoid exercising at least 2.5 hours before sleep.

Tea

A 2017 study showed that daily consumption of tea can reduce the risk of cognitive decline in older persons by 50%. A 2019 study by the same authors showed that drinking oolong, black, or green tea at least 4 times a week for 25 years had a protective effect on age-related decline in brain organisation. So what does a well-organised brain actually mean? When the connections between brain regions are more structured, information processing can be performed more efficiently. As you might expect, organised brain regions are associated with healthy cognitive function.

Magic Mushrooms

Research in 2019 has found that seniors over the age of 60 who consume more than two standard portions (1 portion = 150g; 2 portions= half a plate) of mushrooms weekly may have 50%  reduced odds of having mild cognitive impairment (MCI). A compound called ergothioneine (ET) is a potent antioxidant and anti-inflammatory found in a variety of mushrooms that researchers suspect is the root of these benefits.

Berries

Berries aren’t only delicious, they also work wonders for cognitive function thanks to the high levels of powerful antioxidants they contain, specifically anthocyanidin. Anthocyanidin has been shown to boost memory, neural function, and coordination. It does this by improving communication between brain cells, increasing plasticity – the creation and strengthening of neural pathways -, and helps with memory and learning, and reducing cognitive decline. As a rule of thumb, the darker the berry, the higher its antioxidant content, with blueberries and blackberries the winners.

Dark Chocolate

For similar reasons, the same is true of dark chocolate. The brain is very susceptible to oxidative stress, which contributes to age-related cognitive decline, and foods with high levels of antioxidants fight the free radicals that cause this damage. In studies, cacao flavonoids encourage neuron and blood vessel growth in the parts of the brain related to memory and learning. A study in 2018 looked at what happened when people ate dark chocolate (over 70% cacao) and concluded that it helped brain plasticity, which helps memory and learning.

Nuts and Seeds

If you’re looking to justify your nut butter obsession a 2018 study found that eating more than 10 grams of nuts a day was positively associated with better mental functioning, including improved thinking, reasoning and memory in Chinese patients ages 55 and up. Instead of reaching for the sugary snacks when the slump strikes, give nuts a try. A scientific review in 2014 found vitamin E might help prevent Alzheimer’s disease. The nuts and seeds containing the highest levels of vitamin E are sunflower seeds, hazelnuts, and almonds.

Oily Fish

The same could be said for oily fish. The omega-3 fats it contains help build membranes around every cell in the body, including brain cells, where they improve the structure of brain cells called neurons. A few years ago, a study found that people with high levels of omega-3s had increased blood flow in the brain.

Green Leafy Vegetables

Green leafy vegetables like kale or spinach, are believed to protect the brain because they contain high levels of compounds that fight oxidative stress. Antioxidants found in dark leafy greens include lutein, zeaxanthin, phenols and flavonoids.

Soybean

Soybean products like tofu are rich in a group of antioxidants called polyphenols, which are linked to a reduced risk of dementia and other age-related cognitive problems. The polyphenols they contain – isoflavones, including daidzein and genistein – are antioxidants, and you’ve already learned how good these are for brain health. The best kind of soya to eat is fermented forms like miso, natto and fermented tofu.

Avocado

They are chock-full of nutrient-dense monounsaturated fats, which support blood flow to the brain. They’re also helpful in reducing blood pressure,  which is linked to cognitive decline.

Cucumbers

The ingredient in cucumbers we’re most interested in is the antioxidant fisetin, and science has previously found that it can improve memory. Now a study (admittedly on mice) found that a daily dose of fisetin can improve the symptoms of Alzheimer’s. You’ll also find fisetin in strawberries.

Legumes

Legumes like chickpeas, beans, lentils, and split peas are a good source of folic acid, which can improve verbal and memory performance, and may delay the onset of Alzheimer’s disease. It makes sense, after all getting enough folic acid during pregnancy is vital for foetal brain development and preventing neural tube defects.

Coffee

Thanks to its caffeine content, people often use coffee to keep them alert when they’re flagging. Some research last year suggested that there’s another reason it might be helpful… Coffee may increase your brain’s capacity for processing information. Proper good quality coffee is also a source of antioxidants and has been linked to the prevention of cognitive decline and brain conditions like Parkinson’s and Alzheimer’s.

Eggs

Eggs are a super-duper brain food as they are packed with the B vitamins B6, B12, and folic acid, and research shows these vitamins can prevent your brain from shrinking. They also contain choline, a nutrient that may prevent brain shrinkage and delay cognitive decline.

Broccoli

I am a big fan of this cruciferous vegetable because it has so many health-bringing qualities. The most interesting nutrients that broccoli contains for brain health are glucosinolates, which break down in the body to produce isothiocyanates. These isothiocyanates (and you can also find them in Brussels sprouts, bok choy, cabbage, and kale) may reduce oxidative stress and lower the risk of degenerative brain conditions.

Cinnamon

Cinnamon may keep your brain healthy and your memory sharp. Studies have shown that the compounds in cinnamon may be beneficial for Alzheimer’s prevention. In Alzheimer’s, “plaques” and “tangles” damage brain cells, and cinnamon may prevent the formation of both the plaques and the tangles.

Turmeric

Curcumin, the compound found in this golden spice, is popular for many in the fight against getting older, specifically for its anti-inflammatory properties. You may already be taking it if you have arthritis or other aches and pains. It also protects long-term cognitive function, memory, and mood, as well as combating degenerative processes in the brain. After all, all ageing is in some way linked to inflammation.

 

 

 

Nutrition is Powerful Medicine

Food literally changes your biochemistry and gene expression

Did you know that the food we eat is so powerful that it turns our genes on and off, to alter our weight, blood pressure, blood cholesterol, cancer growth, and even our chances of healthy ageing, among numerous other aspects of our health? Until recently, it was believed you were stuck with the genes you were born with. But we know from research  now that your genes get turned on and off and are expressed to greater or lesser degrees depending on your diet and lifestyle factors. The impact of nutrition on our genes is called nutrigenomics.

It may be that our genes load the gun and are responsible for our predisposition to getting certain illnesses, but our diet and lifestyle pull the trigger, and largely influence whether or not we get them. Nutrition is powerful medicine you can use to your advantage.  It can literally change your life.

A healthy diet can make a big difference in your life but what happens if you don’t know how to start? A Nutritional Therapist can help set you on the right path to healthy living and ageing.

How can a nutrition professional help you?

So what’s to understand about good nutrition?! Everyone knows what a balanced diet is, right? There are articles on healthy eating in every newspaper and magazine. Why would you want to go to see someone to tell you what to eat?!! Your mum did that for you, didn’t she?

Most people get – on a conceptual level at least – that they should probably eat a bit better than they do, they should probably move more and take the time for more ‘me time’ to live a long and happy life.

‘Life’ seems to get in the way of achieving that. Many of us are juggling jobs and the complexities of modern relationships, leaving little time to dedicate to the business of ‘being healthy’. Convenience often wins. It’s not that that’s wrong per se, but here’s the thing: all the time we are not eating or moving or living well, we are silently getting unhealthier.

That may actually be going-to-hospital sick or it may just mean having health niggles that bother us greatly but that we have learned to cope with or accept as inevitable. I’m talking about things like IBS or other tummy troubles, PMT, arthritis, skin conditions, stress or anxiety, haywire hormones, or possibly weight that has crept on over the years and you can’t seem to shift it, no matter what you try.

What I want to share with you today is that the food you eat matters more than you can possibly imagine. Research confirms over and over again that every time you eat, you are literally self-medicating because food changes your biochemistry, and can make you feel rotten- or at the top of your game.

Amazingly, in many cases, simply by making changes to your diet, improving the quality of your sleep and exercising correctly, many illnesses can be prevented or the symptoms improved so markedly that there is a really profound shift in how you experience life. I’ve seen it happen many times and it’s actually a lot easier than you might be thinking.

Putting your nutrition knowledge into actual daily practise

Although Nutritional Therapy is evidence-based, and there are hundreds of thousands of research papers on the power of nutrition on health, it used to be referred to dismissively as ‘complementary medicine’. It’s only now that the science of what and how to eat is getting the recognition it deserves and is being actively promoted by a small number of well-known and recently enlightened conventional medical doctors, like Dr Rangan Chatterjee and Dr Michael Mosely.

Essentially, Nutritional Therapists apply the latest research in nutrition and health sciences to you and your symptoms and formulate a diet, lifestyle and (sometimes) supplement plan to support the body’s own healing processes. They also use the latest cutting-edge tests to help pinpoint key imbalances in the body’s functioning, where appropriate. If they’re health coaches too, they will focus on enabling you to put that knowledge into practice. Because what’s the point of having nutrition knowledge if you can’t put the ideas into practice in a meaningful way, or break through whatever barriers have held you back in the past?

Personalised detective work to find the root cause

Nutritional Therapists take a very personal approach. You might hear practitioners talk about people being ‘biochemically unique’. That means that there isn’t a single way of eating (or lifestyle for that matter) that is right for everyone. Isabel might have IBS and you want to lose weight, for example. Isabel might have a history of antibiotic use, while you had your gall bladder out when you were 14. Isabel might have an intolerance to dairy, while you hate strawberries. I could go on, but you can imagine the thousands of different permutations here. And the fact is that your DNA, previous medical history, any current symptoms as well as what you like and don’t like, not to mention your personal circumstances are all important when a Nutritional Therapist creates a plan for you. There is no way the same “protocol” is going to work for Isabel, and for you.

Raise your hand if you’ve ever gone to the doctor, weren’t seen on time and then spent just a few minutes with your doctor before being ushered out? Or perhaps your health care provider sent you home with a few new prescriptions and no real explanation as to why your health was suffering? While most traditional GPs really do their best, unfortunately, they only have a maximum of 10 minutes to spend with you, they treat your symptoms rather than finding the root cause, and often you walk out with a dissatisfied feeling. A Nutritional Therapist invests a lot of time and skill to dig down deep, and do the detective work needed to find contributing factors, thread them all together and find root causes of symptoms.

You could of course download something from the internet – if you knew what you were looking for – but it’s not the same as having someone connect the dots and put everything together for you, and then give you the support you need to make the adjustments fit into your daily life long-term. A Nutritional Therapist may also work with supplements targeted to a specific condition or your own health goal. This can be a minefield – potentially dangerous and inevitably costly – if you don’t know what you’re doing.

Functional Medicine is the way forward: connecting genetic, environmental, diet and lifestyle factors

It’s unfortunate that so many people don’t understand what a huge effect a personalised food and lifestyle programme can have on the symptoms they have or how they experience their life.

Newspapers are full of soundbites about the latest foods, but they don’t really join the dots, and it’s difficult to see what might be possible for you. I’ve been told by GPs themselves (some of whom have been clients) that the vast majority of doctors – even those being trained today – have next to no current knowledge or practical experience of what their patients should be eating or how they might integrate the theory into their actual daily lives. They live in a world, by and large, where the primary solution presented during your 10-minute session lies in a prescription. They have few other options available to them.

Some – like Dr Chatterjee – are taking on training in something much bigger called Functional Medicine, often referred to as the future of 21st century medicine. Most Nutritional Therapists in the UK have been trained in the Functional Medicine approach. This addresses the whole person, not just an isolated set of symptoms because it views the body as one integrated system, interacting like a web, rather than as a collection of independent organs divided up by medical specialties. Functional medicine practitioners spend time with their clients, listening to their histories and looking at the interactions among genetic, environmental, diet and lifestyle factors that can influence long-term health and complex, chronic disease.

If you think about it, nearly all medications merely suppress symptoms. Only very few are an actual cure – antibiotics come to mind here, one of the most important innovations in medical history, to which we owe much. The exclusively pharmacological approach conventional medicine so often employs usually does little to uncover the root causes. Metformin lowers blood glucose – but why is it high in the first place? Statins lower cholesterol – but why is it elevated? Non-steroidal anti-inflammatory drugs (NSAIDs) numb pain – but why are you in pain? These are the questions nutrition professionals will ask before embarking on a quest to find out the root cause.

What happens in a nutrition consultation? 

Your first consultation will last around 60 to 75 minutes. You will have been asked to complete and send back a nutritional therapy questionnaire before you visit. This is in your interests as I analyse it and research where necessary in advance of your visit, so that we can get you moving forward straight away when we meet. During the session we’ll clarify your medical history, your health goals and any other challenges you’re facing, what you generally eat, what you like to eat, what you hate to eat and how you have to eat (on the bus, in a rush at your desk, and so on). It’s a partnership rather than me prescribing what you should be eating and doing (which usually doesn’t work, unless you’re the type of person who works best when someone explains what you need to do and you then just go off and do it come high or hell). I always explain to you why I’m recommending something and then if you’re happy to go ahead we discuss how you can put it into practice.

Nutritional Therapy programmes usually run over a period of months. That’s because most of us need longer term support to help us implement the programme, make changes in a way and at a pace that suits us, and to deal with any challenges or questions that come up.

What if I already know what to do?

Knowing what you should be doing is only part of the problem if you are unhappy with an aspect of your health. Integrating your programme into habitual daily life and staying motivated for the long haul is the hardest part of any plan. The single best way to stay in the zone is to have a buddy or coach who can give you a nudge or call you out if you start to go off piste. I’d say this is the single biggest thing that makes the difference between reaching your goal and actually staying there. That’s where health coaching comes in. It keeps you accountable and on track to ensure all that good work doesn’t go to waste.

If you’d like to know how you can take back control over your health and weight, and see if Nutritional Therapy is right for you, please book in a complimentary call here. I’d love to speak to you!

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